Transcript Notification of use of a (Published) Article in a Dissertation

Notification of use of a (Published) Article in a Dissertation
[Letterhead stationary or return address]
[DATE]
[Name and address of addressee]
Dear ______________:
I am completing a doctoral dissertation at the Erasmus University Rotterdam entitled
“______________________________”.
One of the requirements of the Doctoral Regulations of my university is to deposit a digital copy
of the complete dissertation in the institutional repository of the University for Open Access
distribution. To be able to comply with this requirement, I intend to include the content of the
following article as a chapter in my dissertation:
[Insert full citation and description of the original work.]
The presentation of the content of the article will follow the overall layout and pagination of
the dissertation and thus differ significantly from the version of record of the article.
Should there be grounds for withholding permission for the re-use of my manuscript, please let
me know this by means of a letter to the address printed above and with a copy to the head of
the Executive Board of the Erasmus University Rotterdam:
Professor H.A.P. Pols (rector magnificus)
p/a Secretariat
A-building room A2-11
Burgemeester Oudlaan 50
3000 DR Rotterdam
The Netherlands
Please do not hesitate to contact me if you have any further questions or need additional
information. Thank you very much.
Sincerely,
[Your name and signature]